Gap Arthroplasty With Temporalis Fascia Interposition For The Treatment Of Temporomandibular Joint Ankylosis: Case Report
Ankylosis of the temporomandibular joint (TMJ) is characterized by the intracapsular union of the condyle-disc complex to the surface of the temporal bone, which can cause restriction of the mandibular movements and a limitation of a mouth opening. Alterations are also described as a restriction of...
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| Format: | Article |
| Language: | English |
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Portal de Periódicos da Marinha do Brasil
2023-06-01
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| Series: | Revista Naval de Odontologia On Line |
| Subjects: | |
| Online Access: | https://portaldeperiodicos.marinha.mil.br/index.php/odontoclinica/article/view/3993 |
| _version_ | 1797356599838244864 |
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| author | Paula Perrotta dos Reis Santos Rodrigo Figueiredo de Brito Resende Antônio Marcos Pantoja de Azevedo Bruno Turéli Guilherme Pivatto Louzada |
| author_facet | Paula Perrotta dos Reis Santos Rodrigo Figueiredo de Brito Resende Antônio Marcos Pantoja de Azevedo Bruno Turéli Guilherme Pivatto Louzada |
| author_sort | Paula Perrotta dos Reis Santos |
| collection | DOAJ |
| description | Ankylosis of the temporomandibular joint (TMJ) is characterized by the intracapsular union of the condyle-disc complex to the surface of the temporal bone, which can cause restriction of the mandibular movements and a limitation of a mouth opening. Alterations are also described as a restriction of masticatory capacity, difficulty in phonation and suitable oral hygiene, as well as difficulty in social interaction. A 27-year-old female patient with a bilateral history of parasymphysis and mandibular condyle fracture after a trauma in 2014, which evolved to an ankylosis of the right TMJ, with a maximum mouth opening of 13.27 mm. For the treatment of the described case, it was used the Al-Kayat approach, ipsilateral coronoidectomy and resection of the ankylotic mass in gap with interposition of temporalis muscle fascia flap on the right side. After six months of the surgical procedure, it was made a new computed tomography of the face in which it was possible to notice the absence of lesions and signs of recurrence of the ankylosis. It was also observed the maintenance of the gap space made by the bone resection. The satisfactory result of the technique was attributed to the achievement and stabilization of an adequate mouth opening, improved chewing ability and phonation. Besides the clinical success, an advantage of the technique used was the low cost of the procedure by using only temporal muscle interposition without the use of alloplastic materials. In addition, the associated ipsilateral coronoidectomy was sufficient to help maintaining the achieved mouth opening, and the contralateral coronoidectomy was not necessary, as a result it was minimized the surgical time and morbidity of one more accessed surgical site. |
| first_indexed | 2024-03-08T14:29:00Z |
| format | Article |
| id | doaj.art-5bcba841a1aa4eb7a2e22b65115bda64 |
| institution | Directory Open Access Journal |
| issn | 1983-7550 |
| language | English |
| last_indexed | 2024-03-08T14:29:00Z |
| publishDate | 2023-06-01 |
| publisher | Portal de Periódicos da Marinha do Brasil |
| record_format | Article |
| series | Revista Naval de Odontologia On Line |
| spelling | doaj.art-5bcba841a1aa4eb7a2e22b65115bda642024-01-12T12:34:52ZengPortal de Periódicos da Marinha do BrasilRevista Naval de Odontologia On Line1983-75502023-06-01501212610.29327/25149.50.1-4Gap Arthroplasty With Temporalis Fascia Interposition For The Treatment Of Temporomandibular Joint Ankylosis: Case ReportPaula Perrotta dos Reis Santos0Rodrigo Figueiredo de Brito Resende1Antônio Marcos Pantoja de Azevedo2Bruno Turéli3Guilherme Pivatto Louzada4Oral and Maxillofacial Surgery and Traumatology at Instituto de Ciência de Saúde Carlos Chagas, Rio de Janeiro, RJ, BrazilOral and Maxillofacial Surgery Service, Hospital Municipalizado Adão Pereira Nunes, Rio de Janeiro, RJ, BrazilOral and Maxillofacial Surgery Service, Hospital Municipalizado Adão Pereira Nunes, Rio de Janeiro, RJ, BrazilOral and Maxillofacial Surgery Service, Hospital Municipalizado Adão Pereira Nunes, Rio de Janeiro, RJ, BrazilOdontoclinica Central da Marinha, Marinha do Brasil, Rio de Janeiro, RJ, BrazilAnkylosis of the temporomandibular joint (TMJ) is characterized by the intracapsular union of the condyle-disc complex to the surface of the temporal bone, which can cause restriction of the mandibular movements and a limitation of a mouth opening. Alterations are also described as a restriction of masticatory capacity, difficulty in phonation and suitable oral hygiene, as well as difficulty in social interaction. A 27-year-old female patient with a bilateral history of parasymphysis and mandibular condyle fracture after a trauma in 2014, which evolved to an ankylosis of the right TMJ, with a maximum mouth opening of 13.27 mm. For the treatment of the described case, it was used the Al-Kayat approach, ipsilateral coronoidectomy and resection of the ankylotic mass in gap with interposition of temporalis muscle fascia flap on the right side. After six months of the surgical procedure, it was made a new computed tomography of the face in which it was possible to notice the absence of lesions and signs of recurrence of the ankylosis. It was also observed the maintenance of the gap space made by the bone resection. The satisfactory result of the technique was attributed to the achievement and stabilization of an adequate mouth opening, improved chewing ability and phonation. Besides the clinical success, an advantage of the technique used was the low cost of the procedure by using only temporal muscle interposition without the use of alloplastic materials. In addition, the associated ipsilateral coronoidectomy was sufficient to help maintaining the achieved mouth opening, and the contralateral coronoidectomy was not necessary, as a result it was minimized the surgical time and morbidity of one more accessed surgical site.https://portaldeperiodicos.marinha.mil.br/index.php/odontoclinica/article/view/3993arthroplastyankylosistemporomandibular jointcondylepathology |
| spellingShingle | Paula Perrotta dos Reis Santos Rodrigo Figueiredo de Brito Resende Antônio Marcos Pantoja de Azevedo Bruno Turéli Guilherme Pivatto Louzada Gap Arthroplasty With Temporalis Fascia Interposition For The Treatment Of Temporomandibular Joint Ankylosis: Case Report Revista Naval de Odontologia On Line arthroplasty ankylosis temporomandibular joint condyle pathology |
| title | Gap Arthroplasty With Temporalis Fascia Interposition For The Treatment Of Temporomandibular Joint Ankylosis: Case Report |
| title_full | Gap Arthroplasty With Temporalis Fascia Interposition For The Treatment Of Temporomandibular Joint Ankylosis: Case Report |
| title_fullStr | Gap Arthroplasty With Temporalis Fascia Interposition For The Treatment Of Temporomandibular Joint Ankylosis: Case Report |
| title_full_unstemmed | Gap Arthroplasty With Temporalis Fascia Interposition For The Treatment Of Temporomandibular Joint Ankylosis: Case Report |
| title_short | Gap Arthroplasty With Temporalis Fascia Interposition For The Treatment Of Temporomandibular Joint Ankylosis: Case Report |
| title_sort | gap arthroplasty with temporalis fascia interposition for the treatment of temporomandibular joint ankylosis case report |
| topic | arthroplasty ankylosis temporomandibular joint condyle pathology |
| url | https://portaldeperiodicos.marinha.mil.br/index.php/odontoclinica/article/view/3993 |
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